New Jersey insurance from The Fig Leaf Insurance Agency
The Fig Leaf Agency is New Jersey's Insurance Warehouse! FAST & FREE Quotes Online.
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Personal Auto, Homeowners Insurance for New Jersey from the Fig Leaf Insurance Agency
Personal Auto Insurance

Homeowners Insurance

Boat Insurance

Personal Umbrella

Life Insurance

Health Insurance


Commercial and Business Insurance from the Fig Leaf Insurance Agency
Business Owners Insurance

Commercial Auto Insurance

Workers Comp Insurance

General Liability Insurance

Commercial Umbrella


Other Insurance Services from the Fig Leaf Insurance Agency
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More About Our Agency

Office Map/Directions

Our Privacy Notice

Questions? E-Mail Us!
 
Online Homeowners Insurance
Quotation Form
One Simple Form - takes only 2-3 Minutes!
Your Personal Data
 
Your Name:
Property Address:
City:
Your "County" is?
State: MUST be New Jersey!
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
 
 
Dwelling Information
 
Year Home Built:
Home Square footage:
 
Is this Builder's Risk?
(new home constr.) 		NO YES
 
Month/Year home
to be complete:
 
Number of units: 1 family Duplex
 
Type foundation: Slab
Crawlspace over slab
Pier & Post
Other (list in remarks)
 
Type Construction: Frame
Brick/Veneer
Stone
Other (list in remarks)
 
Type Roof: Shingle
Wood Shake
Tar/Gravel
Spanish Tile
Metal Other
 
Number of stories: One 1.5
Two Three
 
Do you own animals or pets? Yes No
If yes, list type/for dogs, list breed:
 
Are You Near Brush Area? Yes No
 
# of feet to nearest
fire hydrant: 		# of miles to nearest
fire station:
 
Currently Insured? Yes No
Name of Carrier & how long insured?
 
Prior Claims? Yes No
Describe claims in detail:
 
Rate Your Credit History and Past Insurance Payment History:
(Some companies products are
based on your credit and payment history.) 		Excellent Fair
Poor Horrible
 
Primary Policyholder's Birthdate:
(Some companies products
offer discounts for certain age groups.)
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
 
 
Heating Type: Gas (Propane or natural)
Electric
Oil (if oil, list tank location in remarks)
 
Circuit Breakers or fuses? Breakers Fuses

# Bedrooms: # Bathrooms:
 
# Fireplaces: # Chimneys:
 
Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)
 
Coverages:
 
Dwelling Cov. $ Contents $
Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)
 
Comments/Remarks
(describe any scheduled jewelry, in-home business, oil tank location, or other special coverages/remarks here):
 
Send my quotation via: E-Mail Fax
Regular Mail
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The Fig Leaf Insurance Agency . 1043 Raritan Road . Clark, NJ 07066
Toll Free Phone: 1-877-984-3344 . Phone: 1-732-388-FIGS . Fax: 1-732-388-1187
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